43290 prior authorization | Anthem Blue Cross and Blue Shield Virginia
43290, Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 43290
- Description
- Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 20 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization